Miwa K, Fujioka S, Adachi Y, Haruki T, Taniguchi Y, Nakamura H
General Thoracic Surgery, Tottori University Hospital, Yonago, Japan.
Thorac Cardiovasc Surg. 2010 Mar;58(2):124-6. doi: 10.1055/s-2008-1039266. Epub 2010 Mar 23.
A 62-year-old female consulted our hospital due to an ulceration on the skin of her neck and a mediastinal tumor. Chest CT scan and MRI revealed a mediastinal tumor-like lesion with direct progression to the neck skin lesion. En bloc resection of the tumor including the neck skin ulcer was performed under a median sternotomy. Mediastinal tuberculous lymphadenitis was diagnosed histologically. This is a case of a very rare type of mediastinal tuberculous lymphadenitis that progressed to the neck with an intractable fistula.
一名62岁女性因颈部皮肤溃疡和纵隔肿瘤前来我院就诊。胸部CT扫描和MRI显示纵隔有肿瘤样病变，并直接蔓延至颈部皮肤病变。在正中胸骨切开术下行肿瘤整块切除，包括颈部皮肤溃疡。组织学诊断为纵隔结核性淋巴结炎。这是一例非常罕见的纵隔结核性淋巴结炎，伴有难治性瘘管并蔓延至颈部。
